Director of Regulatory and Patient Safety

Position Summary

Reporting to the Chief of Quality Officer the Director of Regulatory and Patient Safety supports the department in coordination with hospital leadership, through management of projects related to patient safety and regulatory risks.

The department will utilize the Director's expertise to help prioritize projects, to develop detailed project plans for major safety & regulatory initiatives, assist other members of the department in planning projects, and assure a structured, well-planned approach for successful outcomes & project completion.

The Director will also lead a team of Regulatory and Patient Safety Project Managers while coordinating Joint Commission/NYS DOH accreditation/certification across the Stony Brook Medicine system.

Duties of a Director of Regulatory and Patient Safety may include the following but are not limited to:

·       Manage staff and daily functions of the Department of Regulatory Affairs and Patient Safety

·       Ensures compliance with Joint Commission, NYS DOH, NYS OMH certification, accreditation, and reporting

·       Collaborates on and coordinates organization-wide efforts to develop and manage projects related to patient safety and

·       Support regulatory responses to survey findings and to reportable incidents.

·       Uses standard project management tools and methodologies to manage immediate and long-term action items on assigned projects.

·       Creates and maintains comprehensive project status documentation defined through identification of process and needs assessments.

·       Performs processes that are required to track, review and regulate the progress and performance of the project.

·       Coordinates meetings, including agenda setting, minute creation and distribution for various committees as assigned.

Qualifications

Required Qualifications:  

·       Clinical degree including BSN, MD, DO, or PA.

·       Master's Degree in Nursing, Health care Administration, or Business Administration

·       Experience with one or more quality improvement models or methodologies (i.e., Lean, Six-Sigma, Model for Improvement/Plan-Do-Study-Act) required and certification in one of these disciplines is strongly desired.

·       10 (10+) years of progressive leadership experience in a health care clinical, administrative or project management role

·       Strong oral and written communication skills

·       Strong data analytic skills

·       Strong group leadership and organization skills

·       Innovative thinking, facilitation, and consensus building skills

·       Ability to work well both independently and as a part of a team

·       Ability to analyze and present data and program information, orally and in writing in non-technical language

Preferred Qualifications: 

·       Current NYS RN, Physician, or PA licensure.

·       Certification in one of the following disciplines: Lean, Six-Si